Medina, Christopher Carlos

Medina, Christopher Carlos is an individual health care provider with primary practice located at 5800 Heritage Landing Dr Ste C , East Syracuse NY 13057-9378. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Medina, Christopher Carlos can be contacted via phone (315) 445-2701.

Contact Information

Primary practice address
5800 Heritage Landing Dr Ste C East Syracuse NY 13057-9378
Phone: (315) 445-2701
Fax: (315) 445-2847
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 241815 New York

Profile Details

NPI number 1518030402
LBN Legal business name Medina, Christopher Carlos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Jul 1st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518030402 NPPES
New York MEDICAID 03450039

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